The facility shall have a written care plan for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child 6, enrolled for 2 weeks, has diagnosed food allergies but did not have a written allergy action plan on file.

8VAC20-780-60-A · Correction status not published

The center shall inform the department's representative as soon as practicable, but not to exceed two business days, of any injury to a child that occurs while the child is under the supervision of the center and requires outside medical attention. On 8/26/2025, a child sustained an injury on the playground and received outside medical attention. The center did not report the injury to the Department as required.

8VAC20-780-80-B · Correction status not published

Repeat violation: For each group of children, the center shall maintain a written record of daily

attendance that documents the arrival and departure of each child in care as it occurs. At approximately 11:45 a.m. on 6/24/2025, there were 14 children present in the twos room, but only 11 were marked present on the attendance record. There were 14 children present in the older 2s room, but only 12 were marked present on the attendance record.

8VAC20-780-80-A · Correction status not published

For each group of children, the center shall maintain a written record of daily

attendance that documents the arrival and departure of each child in care as it occurs. At approximately 11:00 a.m. on 6/27/2024, there were 15 children present in the twos room, but only 13 were marked present on the attendance record.

8VAC20-780-80-A · Correction status not published

Based on review of 10 staff records, the center failed to obtain documentation of a negative tuberculosis (TB) screening or test within the required time frame. The test or screening must be done at the time of employment, prior to coming in contact with children, and no more than 30 days prior to of the date of employment. Staff 2 (date of employment 10/06/2023) had a TB test done on 7/19/2023. Staff 9 (date of employment 5/23/2023) did not have a TB test done until 7/10/2023.

8VAC20-780-160-A · Correction status not published

Based on review of eleven children?s records, the facility failed to have a physical examination for each child within 30 days of attendance. Evidence: Child 8 (date of enrollment 5/1/2023) did not have documentation of a physical on file.

8VAC20-780-140-A · Correction status not published

Based on interviews with staff and review of supervision policies, the facility failed to follow the center's own policies and procedures that are required by these standards. Evidence:

The center's ?Lost or missing children? policy states "It is the program?s strict policy that no child is ever left alone. It is the teacher?s responsibility to know where children in attendance are at all times. Children must be under sight and sound supervision at all times.? On 9/12/2022, at approximately 3:24 p.m., Staff 2 reportedly told leadership that they could not locate Child 1 (age 2 years) on the playground or in the classroom. The child could not be located for at least 15 minutes.

8VAC20-780-40-E · Correction status not published

Based on review of nine staff files and staff interview, facility failed to submit an out of state child abuse and neglect search or equivalent from any state in which the individual has lived in the past 5 years. Evidence: Staff 3 (date of employment 4/4/2022) indicated on the sworn disclosure statement that she had lived in another state in the past 5 years. There was no documentation to support that the out of state child abuse and neglect search request was sent.

A member of management verified that the child abuse and neglect check had not been submitted within the required time frame.

22.1-289.035-B-4 · Correction status not published

Based on a review of staff records, the center did not ensure to obtain a fingerprint based national criminal record check prior to the first day of employment for each staff.

Evidence: 1. The record of Staff #1, hired on 10/8/21, contained documentation of fingerprints dated 10/18/21. 2. The record of Staff #3, hired on 12/23/21, contained documentation of fingerprints dated 1/13/22.

22.1-289.035-B-2 · Correction status not published

Based on interviews, the center did not ensure parents were notified the same day when a child sustained an injury.

Evidence: 1. An incident report dated November 2, 2021, indicated that the parent was notified "upon present at 4:15pm." 2. During interviews, staff agreed the documented information on the incident was not correct and that the parent wasn't notified "upon present." 3. Administration stated the child's teacher had the incident report on a clipboard and left for the day without notifying the front desk that an injury had occurred. Administration stated "we have to work on notifying parents the same day."

22VAC40-185-550-L · Correction status not published

Based on staff and witness interviews on October 27, 2021, the center did not ensure that staff wash their hands with soap and running water before helping a child use the toilet or a diaper change.

Evidence: 1. Staff 1 stated she puts gloves on prior to changing a diaper and washes hands after the diaper change. 2. Staff 2 stated she puts gloves on prior to changing a diaper and washes hands after the diaper change. 3. An outside witness stated she puts gloves on prior to changing a diaper and then washes hands after the diaper change.

22VAC40-185-500-A · Correction status not published